scholarly journals CT Cystography for Suspicion of Traumatic Urinary Bladder Injury: Indications, Technique, Findings, and Pitfalls in Diagnosis: RadioGraphics Fundamentals | Online Presentation

Radiographics ◽  
2018 ◽  
Vol 38 (1) ◽  
pp. 92-93 ◽  
Author(s):  
Gayatri Joshi ◽  
Eugene Y. Kim ◽  
Tarek N. Hanna ◽  
Cary L. Siegel ◽  
Christine O. Menias
Keyword(s):  
Urinary Bladder ◽  
Bladder Injury ◽  
Ct Cystography

Imaging of urinary bladder injury: the role of CT cystography

2019 ◽  
Vol 27 (1) ◽  
pp. 87-95 ◽  
Author(s):  
Daniel F Fouladi ◽  
Shahab Shayesteh ◽  
Elliot K Fishman ◽  
Linda C Chu
Keyword(s):  
Urinary Bladder ◽  
Bladder Injury ◽  
Ct Cystography

CT Cystography for Suspicion of Traumatic Urinary Bladder Injury: Indications, Technique, Findings, and Pitfalls in Diagnosis

RadioGraphics ◽  
2018 ◽  
Author(s):  
Gayatri Joshi ◽  
Eugene Y. Kim ◽  
Tarek N. Hanna ◽  
Cary L. Siegel ◽  
Christine O. Menias
Keyword(s):  
Urinary Bladder ◽  
Bladder Injury ◽  
Ct Cystography

scholarly journals Spontaneous Rupture of Urinary Bladder: Two Case Reports and Review of Literature

2021 ◽  
Vol 8 ◽  
Author(s):  
Yue Zhang ◽  
Shuo Yuan ◽  
Rami W. A. Alshayyah ◽  
Wankai Liu ◽  
Yang Yu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Antibiotic Therapy ◽  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Bladder Tumor ◽  
Bladder Rupture ◽  
Intraperitoneal Rupture ◽  
History Of ◽  
Ct Cystography

Objectives: Spontaneous rupture of the urinary bladder (SRUB) is extremely rare and might be misdiagnosed, leading to a high mortality rate. The current study aimed to identify the cause, clinical features, and diagnosis strategy of SRUB.Methodology: We presented a case report for two women (79 and 63 years old) misdiagnosed with acute abdomen and acute kidney injury, respectively, who were finally confirmed to have SRUB by a series of investigations and exploratory surgery. Meanwhile, literature from multiple databases was reviewed. PubMed, the Chinese National Knowledge Infrastructure (CNKI), the Chinese Biological Medical Literature Database (CBM), WANFANG DATA, and the Chongqing VIP database for Chinese Technical Periodicals (VIP) were searched with the keywords “spontaneous bladder rupture” or “spontaneous rupture of bladder” or “spontaneous rupture of urinary bladder.” All statistical analyses were conducted using SPSS 20.0 software.Results: A total of 137 Chinese and 182 English literature papers were included in this article review. A total of 713 SRUB patients were analyzed, including the two patients reported by us. The most common cause of SRUB was alcohol intoxication, lower urinary tract obstruction, bladder tumor or inflammation, pregnancy-related causes, bladder dysfunction, pelvic radiotherapy, and history of bladder surgery or bladder diverticulum. Most cases were diagnosed by exploratory laparotomy and CT cystography. Patients with extraperitoneal rupture could present with abdominal pain, abdominal distention, dysuria, oliguria or anuria, and fever. While the main symptoms of intraperitoneal rupture patients could be various and non-specific. The common misdiagnoses include acute abdomen, inflammatory digestive disease, bladder tumor or inflammation, and renal failure. Most of the patients (84.57%) were treated by open surgical repair, and most of them were intraperitoneal rupture patients. Overall, 1.12% of patients were treated by laparoscopic surgery, and all of them were intraperitoneal rupture patients. Besides, 17 intraperitoneal rupture patients and 6 extraperitoneal rupture patients were treated by indwelling catheterization and antibiotic therapy. Nine patients died of delayed diagnosis and treatment.Conclusions: SRUB often presents with various and non-specific symptoms, which results in misdiagnosis or delayed treatment. Medical staff noticing abdominal pain suggestive of peritonitis with urinary symptoms should be suspicious of bladder rupture, especially in patients with a history of bladder disease. CT cystography can be the best preoperative non-invasive examination tool for both diagnosis and evaluation. Conservative management in the form of urine drainage and antibiotic therapy can be used in patients without severe infection, bleeding, or major injury. Otherwise, surgical treatment is recommended. Early diagnosis and management of SRUB are crucial for an uneventful recovery.

‘FAST positive’ reversal & pneumoperitoneum: A novel sign of traumatic bladder rupture

Trauma ◽  
2020 ◽  
pp. 146040862096102
Author(s):  
Jaine J Chennatt ◽  
Amulya Rattan ◽  
Ajay K Dhiman
Keyword(s):  
Urinary Bladder ◽  
Road Traffic ◽  
Road Traffic Injury ◽  
Bladder Rupture ◽  
Bladder Injury ◽  
Male Victim ◽  
Presenting Symptoms ◽  
Traffic Injury ◽  
Access Surgery ◽  
Bladder Evaluation

Urinary bladder injuries are uncommon, accounting for just 1.6% of all abdominal trauma. The most common presenting symptoms are hematuria, abdominal pain and inability to void. Ascites is the most typical manifestation on CT. We hereby report a case of a 24-year-old male victim of a road traffic injury with an unusual presentation of pneumoperitoneum and “reversal” of FAST positive status as the presenting signs of bladder injury. Prior awareness of urinary bladder injury as the etiology of pneumoperitoneum can possibly decrease morbidity with consideration of minimal access surgery for management. Compared to pneumoperitoneum, “FAST reversal” in catheterized patients is quite peculiar and sufficiently specific per se to warrant a cystogram or thorough intraoperative bladder evaluation.

scholarly journals Traumatic urinary bladder rupture: the usefulness of CT cystography

2013 ◽  
Vol 96 (2) ◽  
pp. 90
Author(s):  
P Montigny ◽  
J Pringot ◽  
M F Billemont ◽  
P Matthys
Keyword(s):  
Urinary Bladder ◽  
Bladder Rupture ◽  
Ct Cystography

scholarly journals Masked urinary bladder injury with a bullet expulsed spontaneously during voiding

2011 ◽  
Vol 17 (5) ◽  
pp. 455-457 ◽  
Author(s):  
Mujgan Caliskan ◽  
Ismail Evren ◽  
Ismail Kabak ◽  
Ibrahim Atak ◽  
Recai Gokcan
Keyword(s):  
Urinary Bladder ◽  
Bladder Injury

scholarly journals Entrapment of the urinary bladder: A rare mechanism of bladder injury in pelvic trauma

2019 ◽  
Vol 21 ◽  
pp. 100199
Author(s):  
Derek S. Stenquist ◽  
Tyler J. Chavez ◽  
Michael J. Weaver
Keyword(s):  
Urinary Bladder ◽  
Pelvic Trauma ◽  
Bladder Injury
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